MICHAEL CASTANEDA – Family Nurse Practitioner, NPI 1114543055

MICHAEL CASTANEDA is a healthcare provider. based in Niles, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209021107 (IL). The NPI Number for MICHAEL CASTANEDA is 1114543055

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL CASTANEDA
NPI
1114543055
Phone
(847) 910-6059
Address
8540 W ROSEVIEW DR
Enumeration Date
16 June 2020
Last Update Date
16 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732762655
Graduation Year
2019 (7 years ago)
PAC ID
8527456599
Group Practice PAC ID
6800192519
Professional Enrollment ID
I20211025000074
Address ID
IL601814810OA18XXXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MICHAEL CASTANEDA

  • 8540 W ROSEVIEW DR

    NILES, IL 607141856

    Phone: (847) 910-6059

    Type: Mailing

  • 1875 DEMPSTER ST STE 110

    PARK RIDGE, IL 600681125

    Phone: (847) 897-9010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-06-16 • Largest payer in this snapshot: Lilly USA, LLC ($35).

Total Amount

$81

General + Research + Ownership

Payments

5

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211025000074INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes449147$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes367152$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5150$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800192519View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is MICHAEL CASTANEDA listed with a National Provider Identifier?
Yes — MICHAEL CASTANEDA has NPI 1114543055 on file in the registry.
Is there an active status for MICHAEL CASTANEDA?
For scheduling context, MICHAEL CASTANEDA is shown as active in the registry.
What area of care is associated with MICHAEL CASTANEDA?
MICHAEL CASTANEDA's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL CASTANEDA?
Directory geography for MICHAEL CASTANEDA centers on Niles, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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